NPIMap

Organization Active NPI

Scappoose Chiropractic Clinic PC

  • Clinic/Center
  • Scappoose, OR
National Provider Identifier
1619140506
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
27 2310 Issued in OR
Legal business name
SCAPPOOSE CHIROPRACTIC CLINIC PC
Practice address
52481 SW 1St Street
Scappoose, OR 97056
Phone
(503) 543-3195
Fax
(503) 543-7532
NPI assigned
Apr 11, 2008
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gary Micheal Domby, DCNPI 1801839865
Title
Owner/President
Phone
(503) 543-3195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 27 2310 OR Primary

Addresses

Primary practice location

52481 SW 1St Street
Scappoose, OR 97056

Mailing address

PO Box 1108
Scappoose, OR 97056-1108
Phone (503) 543-3195

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1619140506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970561108",
            "telephone_number": "503-543-3195",
            "fax_number": "503-543-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52481 SW 1ST STREET",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "97056",
            "telephone_number": "503-543-3195",
            "fax_number": "503-543-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCAPPOOSE CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "DOMBY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-543-3195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "27 2310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scappoose, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.